Therese Middleton, LCSW

Licensed in North Carolina · 7 years in practice

Therese Middleton brings a practical, person-centered approach to therapy.

License and registration

LCSW, North Carolina: C012117 · expires March 2026
LCSW, Virginia: 0904011505 · expires June 2026
NPI: 1790590420 · national provider identifier
Years in practice: 7
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Therese

Therese Middleton brings a practical, person-centered approach to therapy. She is a licensed clinical social worker - LCSW - practicing with seven years of experience. She focuses on helping people manage stress, anxiety, trauma and abuse, low self-esteem, and major life changes.

Therese works in a calm, respectful way and adapts conversations to each person’s needs. Sessions focus on clear goals and small steps that fit daily life. She also helps people who are dealing with compassion fatigue and burnout from caregiving or workplace stress.

Background and approach

Her work extends to concerns linked to adoption and foster care, fertility and pregnancy-related issues, postpartum depression, body image, and sexual assault and abuse. She also supports people facing immigration-related stress, workplace struggles, seasonal affective disorder, and questions about life purpose or commitment. Therese holds LCSW credentials in North Carolina and Virginia and practices from North Carolina.

She offers sessions in English and does not take international clients. Therapy is available through video calls, phone sessions, live chat, or text-based messaging to fit different schedules. To begin, people complete a short matching questionnaire and schedule sessions according to therapist availability.

Sessions use a subscription that can be canceled at any time. Therese aims for straightforward, compassionate work so people can feel steadier and clearer about next steps.

Focus areas and approaches

Everything Therese lists on their public professional profile, in their own terms.

Online support

Approaches that guide online sessions

Therese uses straightforward, evidence-based techniques that translate well to remote work. She focuses on practical problem-solving and building coping skills to reduce stress and anxiety, helping people break down worries into manageable steps. She also applies trauma-informed care that recognizes the effects of past abuse and supports gentle pacing and stabilization before deeper work.

Choosing the right approach is a collaborative process. The therapist and client talk about goals, past experiences, and what feels most helpful. Together they try methods, adjust pacing, and pick strategies that fit the person’s needs and daily routine.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy flexible. Video calls allow face-to-face conversation and visual cues, phone sessions can work when bandwidth is limited, live chat supports shorter check-ins, and messaging is useful for ongoing reflections between meetings. These options help people fit therapy into work, family duties, or busy days while maintaining continuity of care.

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Questions people ask

What kinds of concerns does Therese help with?

She helps people manage stress, anxiety, trauma and abuse, self-esteem issues, and coping with life changes. Additional focuses include postpartum depression, body image, workplace issues, and caregiver stress.

What is her therapy style like?

Therese uses a person-centered, practical approach that adapts to each individual. She focuses on clear goals and concrete steps people can use between sessions.

How much experience does she have?

She has seven years of professional experience working with a range of emotional and life concerns, including compassion fatigue and trauma-related issues.

What are her credentials and where does she practice?

She is a licensed clinical social worker - LCSW - with credentials in Virginia and North Carolina, and she practices from North Carolina.

Can sessions be conducted in other languages or internationally?

Sessions are offered in English. She does not accept international clients at this time.

Which session formats are available?

Therese offers video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.

How are sessions paid for and what do they cost?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

What is the first step to begin working together?

Start by selecting the Start Therapy button and completing a short matching questionnaire, then schedule sessions based on therapist availability.

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